Discussion Meet 2025 Entry Form

Discussion Meet 2025 Entry Form
Full Name
* Will be used in the program and for recognition
Phonetic Pronunciation (First and Last)
Member Number
County
Address
City
State
Zip Code
Phone
Email
example@example.com
Date of Birth

MonthDayYear
Date
Gender
Education/Degree
Spouse/Spousal-Equivalent’s Name
I hereby certify the information on this entry form to be accurate and true statements. CAFB DOES NOT ACCEPT LIABILITY FOR APPLICATIONS SUBMITTED INCORRECTLY BY A COLLEGE OR A COUNTY FARM BUREAU OFFICE. CAFB reserves the right to use my photos and/or any video footage for use in promoting Farm Bureau. The photos and/or video footage of the undersigned contestant may also be available to sponsors of Farm Bureau events. By participating in the Event, I warrant that I fully and unconditionally agree to and accept the YF&R official contest rules and the decisions of the YF&R Committee, which are final and binding.
Applicant Signature

Clear
Date

MonthDayYear
Date
I give approval for CAFB to reach out to my county's executive director for eligibility into the 2025 California YF&R contest

YesNo
Discussion Meet participants will be required to register for the CAFB Annual Meeting.

All Discussion Meet Applications must be received at the CAFB office by 4:30 p.m. October 31, 2025.
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